BRIDGET LEA PROVALENKO

BELLINGHAM, WA
NPI1053568691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2008-08-26
Last Update Date2008-08-26
Business Address
-- BRIDGET LEA PROVALENKO ATC
805 W ORCHARD DR STE 2
BELLINGHAM, WA 98225-1759
Phone number: 360-752-1575
Mailing Address
-- BRIDGET LEA PROVALENKO ATC
1610 GROVER ST STE B2
LYNDEN, WA 98264-1539
Phone number: 360-354-5245
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